From the *Department of Anesthesiology, Virginia Mason Medical Center, Seattle, WA; †Accreditation Council for Graduate Medical Education, Chicago, IL; ‡Department of Anesthesiology & Pain Management, Cleveland Clinic, Cleveland, OH; and §Pikes Peak Anesthesia Associates, Colorado Springs, CO.
Reg Anesth Pain Med. 2017 Jul/Aug;42(4):437-441. doi: 10.1097/AAP.0000000000000623.
The Anesthesiology Review Committee of the Accreditation Council for Graduate Medical Education sets core requirements for residency program accreditation. We periodically report and analyze the US anesthesiology residents' training experience in regional anesthesia and pain medicine.
Resident caseload, procedure, and pain medicine evaluation data were aggregated for the resident cohort who graduated in 2015. These data were analyzed for present-day experience and compared with previous reports from years 1980, 1990, and 2000 graduates.
Data were available for 1631 residents who graduated from 129 training programs. Regional anesthesia as a portion of the overall anesthesiology residents' training experience remains unchanged since 1990. The distribution of regional anesthesia training has shifted from neuraxial to peripheral blocks. All residents at the 10th percentile and above achieved the benchmark for spinal, epidural, and peripheral nerve block anesthetics and for new pain evaluations.
The focus of US anesthesiology resident training in regional anesthesia and pain medicine has changed over the past 15 years by shifting from neuraxial to peripheral nerve block techniques. Previous training deficits have resolved for spinal anesthesia and peripheral nerve block. Procedural experience in pain medicine overwhelmingly involves epidural and facet injections.
美国研究生医学教育认证理事会的麻醉学审查委员会为住院医师项目认证设定了核心要求。我们定期报告和分析美国麻醉学住院医师在区域麻醉和疼痛医学方面的培训经验。
收集了 2015 年毕业的住院医师队列的住院医师病例量、手术和疼痛医学评估数据。对这些数据进行了分析，以了解当前的经验，并与 1980 年、1990 年和 2000 年毕业的报告进行了比较。
共有 129 个培训项目的 1631 名住院医师的数据可用。自 1990 年以来，区域麻醉作为整体麻醉住院医师培训经验的一部分保持不变。区域麻醉培训的分布已从神经轴突转移到外周阻滞。所有处于第 10 百分位数及以上的住院医师都达到了脊柱、硬膜外和外周神经阻滞麻醉以及新的疼痛评估的基准。
在过去的 15 年中，美国麻醉学住院医师在区域麻醉和疼痛医学方面的培训重点已从神经轴突转移到外周神经阻滞技术上发生了变化。先前在脊髓麻醉和外周神经阻滞方面的培训不足已经得到解决。疼痛医学的程序经验主要涉及硬膜外和关节突注射。
